决策辅助工具在骨科手术中的作用。
Role of decision aids in orthopaedic surgery.
作者信息
Ten Have Isha A, van den Bekerom Michel Pj, van Deurzen Derek Fp, Hageman Michel Gjs
机构信息
Isha A ten Have, Michel PJ van den Bekerom, Derek FP van Deurzen, Michel GJS Hageman, Department of Orthopaedics, Onze Lieve Vrouwe Gasthuis, 1091 AC Amsterdam, The Netherlands.
出版信息
World J Orthop. 2015 Dec 18;6(11):864-6. doi: 10.5312/wjo.v6.i11.864.
Medical treatment of patients inherently entails the risk of undesired complication or side effects. It is essential to inform the patient about the expected outcomes, but also the possible undesired outcomes. The patients preference and values regarding the potential outcomes should be involved in the decision making process. Even though many orthopaedic surgeons are positive towards shared decision-making, it is minimally introduced in the orthopaedic daily practice and decision-making is still mostly physician based. Decision aids are designed to support the physician and patient in the shared- decision-making process. By using decision aids, patients can learn more about their condition and treatment options in advance to the decision-making. This will reduce decisional conflict and improve participation and satisfaction.
对患者进行医学治疗本身就存在出现不良并发症或副作用的风险。告知患者预期结果固然重要，但也要告知可能出现的不良结果。患者对潜在结果的偏好和价值观应纳入决策过程。尽管许多骨科医生对共同决策持积极态度，但在骨科日常实践中，共同决策的应用极少，决策仍主要基于医生。决策辅助工具旨在支持医生和患者进行共同决策。通过使用决策辅助工具，患者可以在决策前更多地了解自己的病情和治疗选择。这将减少决策冲突，提高参与度和满意度。
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